G1 P0102 (woman who had twins and both are living today) gets pregnant again with a single fetus

G2 P0102

G2 P0102 (woman who had delivered twins and got pregnant again) delivers the new baby at term and is alive today

G2 P1103

Primigravida, pregnant with twins

G1 P0000

G1 P0000 (woman pregnant with twins), delivers at term and babies are alive

G1 P1002

Primigravida, pregnant with twins, delivers at term, one dies

G1 P1001

2000: 38 weeks, living and well
2002: 27 weeks, living and well
2004: twins, 34 weeks, living and well
2006: ectopic pregnancy, 13 weeks
2008: triplets, 32 weeks, one died of SIDS
2010: 41 weeks, living and well

What is her gravidity and parity according to TPAL?

G6 P2317

Which routine lab test is run for all pregnant women?

Urinalysis and C&S

What does estrogen do in pregnancy?

It stimulates

What happens to heart rate in pregnancy?

Increases 10-15 BPM

What happens to blood volume in pregnancy?

Increases 30-50%

What happens to the cardiac stroke volume in pregnancy?

It increases with every systole

What happens to cardiac output in pregnancy?

It increases about 40%

What does progesterone do in pregnancy?

It relaxes blood vessel walls

If a pregnant woman's diastolic blood pressure is greater than 80, what does this indicate?

That her blood pressure is actually high and is only appearing low b/c of the progesterone relaxing the vessel walls

Why does the risk of blood clots increase in pregnancy?

Fibrin, fibrinogen and clotting factors rise

What does progesterone do to respirations in pregnancy?

Causes the respiratory center in the brain to be more sensitive to CO2 b/c more O2 is needed for fetus, placenta etc.